Enrollment Support Specialist

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Full Time Administrative Olympia, WA, US

2 days ago Requisition

Salary Range: $56,908.00 To $61,435.00 Annually

The mission of Washington Health Benefit Exchange (Exchange) is to radically improve how Washington residents secure health insurance through innovative and practical solutions, an easy-to-use customer experience, our values of integrity, respect, equity and transparency, and by providing undeniable value to the health care community.

The Exchange is a public-private partnership that operates Washington Healthplanfinder, the eligibility and enrollment portal used by one in four Washington residents to obtain health and dental coverage. Through this platform, and with support from a Customer Support Center and statewide network of in-person navigators and brokers, individuals and families can shop, compare and enroll in private, qualified health plans (as defined in the Affordable Care Act) or enroll in Washington Apple Health, the state Medicaid program.

Equity is fundamental to the mission of the Washington Health Benefit Exchange. The process of advancing toward equity and becoming anti-racist is disruptive and demands vigilance to dismantle deeply entrenched systems of privilege and oppression. While systemic racism is a root cause of many societal inequities, we must also use an intersectional approach to address all forms of bias and oppression, which interact with and often exacerbate racial inequities.

To be successful, we must recognize the socioeconomic drivers of health and focus on people and places where needs are greatest. As we listen to community, we must hold ourselves accountable to responding to recommendations to remedy inequitable policies, systems, or practices within the Exchange’s area of influence. Our goal is that all Washingtonians have full and equal access to opportunities, power and resources to achieve their full potential.

This position will support the Enrollment Team in processing of the enrollment life cycle through the Washington Health Benefit Exchange to ensure customers are enrolled timely and accurately into the health and dental coverage they select through Washington Healthplanfinder. This position will conduct end-to-end account analysis and utilize reconciliation tools and systems to update and align Washington Health Benefit Exchange and carrier enrollment systems.

This position will support the resolution of customer requests and escalations through the use of these systems and tools and through direct outreach to customers via phone and email. This position may support other projects assigned by Enrollment Leadership as needed.

• Provide intermediate Healthplanfinder support to insurance carriers and customers, including knowledge and understanding of the Healthplanfinder application, eligibility, enrollment, and reconciliation processes.
• Process daily, weekly, and monthly reconciliation reports to ensure enrollment accuracy in Washington Healthplanfinder and carrier enrollment-related systems.
• Provide working analysis and reconciliation of enrollment data using Healthplanfinder and reconciliation systems and tools.
• Support resolution of customer requests and escalations through analysis, and outreach via phone and email.
• Identify trends in enrollment data indicative of larger Healthplanfinder, EDI, or carrier system issues.
• Support data reconciliation and program integrity processes with account work and direct outreach to customers as needed.
• Maintain confidential client records, statistical data, and tracking information; submit required reporting information in a complete, accurate, and timely manner.
• Supporting carrier relations by participating in meetings, responding timely to phone calls and emails, reviewing ad-hoc reports, and responding to escalated/urgent issues.
• Participate in process improvement groups and Healthplanfinder enhancements within Operations
• Work on special projects/other duties as assigned.
• Annual activities related to Open Enrollment…